Splenectomy in the Surgery Department “A” at the University Hospital Point G Bamako  

作　　者：O. Sacko M. Sissoko S. Koumaré L. Soumaré M. Camara S. Keita S. Diallo D. Dakouo M. Coulibaly A. Diakité M. Traoré G. Soumaré A. F. Traoré B. Touré M. Diallo M. Konaté A. Koné Y. Dianessy B. Traoré A. Koita Sanogo Zimogo 

机构地区：[1]Department of Surgery “A”, University Hospital of Point G, Bamako, Mali [2]Department of Surgery “B”, University Hospital of Point G, Bamako, Mali [3]Department of Gynecology-Obstetrics, University Hospital of Point G, Bamako, Mali [4]Department of Internal Medicine, University Hospital of Point G, Bamako, Mali [5]Department of Hematologie, University Hospital of Point G, Bamako, Mali [6]Reference Health Center of Commune 6, Bamako, Mali.

出　　处：《Surgical Science》2019年第10期347-354,共8页外科学（英文）

摘　　要：We conducted a retrospective study that included patients with erythrocyte and hemolytic pathology justifying a splenectomy and patients presenting splenic trauma for which hemostasis splenectomy is required. We performed 27 total splenectomy in which 26 are by laparotomy (92.86%) and 1 by laparoscopy (3.57%). A partial splenectomy was performed by laparoscopy. The morbidity was marked by 2 cases of infectious syndrome and 1 case severe anemia. The mortality was 7.14% (n = 2). Splenectomy is part of the therapeutic arsenal for benign or malignant hematological disorders that constitute the main indication for elective splenectomy. Splenectomy was one of the most common operations in abdominal surgery. During the past decade, an increased rate of late complications, specially septic and thromboembolic complications are well documented. The risk is related to the indication of splenectomy, and is less than 1% in adults without immunodeficiency. However, these overwhelming postsplenectomy infections are associated with a high mortality rate. The best treatment of these infections is preventive measures which are based on vaccination and education of asplenic patients.We conducted a retrospective study that included patients with erythrocyte and hemolytic pathology justifying a splenectomy and patients presenting splenic trauma for which hemostasis splenectomy is required. We performed 27 total splenectomy in which 26 are by laparotomy (92.86%) and 1 by laparoscopy (3.57%). A partial splenectomy was performed by laparoscopy. The morbidity was marked by 2 cases of infectious syndrome and 1 case severe anemia. The mortality was 7.14% (n = 2). Splenectomy is part of the therapeutic arsenal for benign or malignant hematological disorders that constitute the main indication for elective splenectomy. Splenectomy was one of the most common operations in abdominal surgery. During the past decade, an increased rate of late complications, specially septic and thromboembolic complications are well documented. The risk is related to the indication of splenectomy, and is less than 1% in adults without immunodeficiency. However, these overwhelming postsplenectomy infections are associated with a high mortality rate. The best treatment of these infections is preventive measures which are based on vaccination and education of asplenic patients.

关 键 词：SPLENECTOMY HEMATOLOGY SEPTIC COMPLICATION VACCINATION 

分 类 号：R73[医药卫生—肿瘤]